OD17

Question 1

3 potential life-threatening complications of surgery?

Answer 1

• Airway obstruction
o Lugwig’s angina – swelling in FOM – PUS
• Haemorrhage (exsanguination) – can result in airway obstruction
• Infection - SEPSIS

Question 2

A risk of lingual swelling, that is rare in buccal swellings

Answer 2

Airway obstruction

Question 3

Describe a odontogenic swelling 0-3 days in.

Answer 3

Pus breaks through cortices
Acute inflammation
Mild erythema

Question 4

Describe a odontogenic swelling 3-7 days?

Answer 4

Cellulitis
Hard erythematous swelling
Very painful
Drained = serosanguineous fluid with flecks of pu

Question 5

Describe a odontogenic swelling After 5 days?

Answer 5

Potential for abscess formation

Question 6

4 potential symptoms of SIRS – systemaric inflammatory response syndrome

Answer 6

Tachycardia- >90BPM
Tachyponea- >20RR
Pyrexia- >38.3 or <36
WCC- <4 or >12

Question 7

Other signs of potential sepsis?

Answer 7

Purpuric rash
No passage of urine in >18 hours
Confuses state
Only responds to pain. Trap. nip>
Lactate >2

Question 8

Treatment of suspected sepsis?

Answer 8

Broad spectrum antibiotics- 1g amoxicillin
Fluids
Oxygen
Lactate

Question 9

What is the difference between bacteraemia and septicaemia.

Answer 9

•	Bacteraemia
	Presence of BACTERIA in blood stream
	Managed by competent immune system
•	Septicaemia
	Presence of numerous ACTIVELY DIVIDING 
        BACTERIA in the blood
	Produces a systemic response - SIRs 
        Tachycardia/ tachypnoea/ raised temperature

Question 10

4 main principles for treatment of infection?

Answer 10

1. Remove cause- XLA/ access
2. Institute drainage-
3. Prevent spread- antibiotics
4. Restore function

Question 11

What causes hot potato voice?

Answer 11

Significant oedema around oropharynx